Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $350.96 / $2,113.00 / $10,268.00	Facility		$350.96	$2,113.00	$10,268.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.62 / $348.03 / $663.75	Professional		$247.62	$348.03	$663.75
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,145.00 / $2,792.00 / $8,800.00	Facility		$1,145.00	$2,792.00	$8,800.00
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.98 / $287.91 / $444.95	Professional		$212.98	$287.91	$444.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $230.19 / $251.11 / $365.66	Facility		$230.19	$251.11	$365.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $289.60 / $378.10 / $481.22	Professional		$289.60	$378.10	$481.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21,571.00 / $21,571.00 / $21,571.00	Facility		$21,571.00	$21,571.00	$21,571.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.12 / $426.09 / $659.03	Professional		$283.12	$426.09	$659.03
Medical Mutual of Ohio Facility/Professional Facility Modifier Low / Median / High Price $441.75 / $441.75 / $441.75	Facility		$441.75	$441.75	$441.75
Medical Mutual of Ohio Facility/Professional Professional Modifier Low / Median / High Price $292.95 / $430.24 / $659.03	Professional		$292.95	$430.24	$659.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.77 / $233.23 / $427.56	Professional		$34.77	$233.23	$427.56
United Facility/Professional Facility Modifier Low / Median / High Price $2,233.00 / $4,223.00 / $6,522.00	Facility		$2,233.00	$4,223.00	$6,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $269.37 / $428.60 / $750.21	Professional		$269.37	$428.60	$750.21